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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abnormal Arrhythmias?

My son in law has been having an abnormal arrhythmias. I am a nurse and have seen the EKG. He is skipping beats. The complex is showing obvious widening and the P wave is either missing or is buried in the QRS - difficult to see for sure. One of the consulting ER docs stated that he thought the rhythm looked suspicious of Wolff Parkinson s White and felt he needed an Echo, Stress test and possible interventions as soon as possible. Therefore, he was transferred to a larger hospital with better capabilities and in fact was life-flighted to that facility. He has a hx of PTSD with pseudo-seizures and received treatment at this larger facility in the past. Because of his past history, the current providers are fixated on the part of his record that talks about this and are telling him that they think he is possibly making stuff up . He has been having episodes of passing out. He has a robust family hx of cardiac issues. Mother received a pacemaker this year for WPW and maternal grandmother died in her 40 s from a cardiac type episode (he doesn t know the specifics). Is it possible for someone to fake this type of rhythm ? Feeling frustrated for him and understand that conversion disorders, pseudo seizures, etc are real and the mind can cause a lot of things to happen. However, I just don t believe you can fake the arrhythmia I see on the EKG strip. thoughts?
Thu, 9 Aug 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.





You cannot fake an ECG rhythm. Occasional Ventricular premature complexes(VPCs) may be because of stress however a rhythm pointing towards Wolff-Parkinson-White Syndrome (WPW) needs evaluation. A 24 hour holter may help us diagnose previously undetected arrhythmia and help the treating doctor provide objective evidence of the rhythm.





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What Causes Abnormal Arrhythmias?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You cannot fake an ECG rhythm. Occasional Ventricular premature complexes(VPCs) may be because of stress however a rhythm pointing towards Wolff-Parkinson-White Syndrome (WPW) needs evaluation. A 24 hour holter may help us diagnose previously undetected arrhythmia and help the treating doctor provide objective evidence of the rhythm. Hope I have answered your query. Let me know if I can assist you further.